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COUNTY OF SAN MATEO
Inter-Departmental Correspondence
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San Mateo Medical Center
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DATE:
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September 19, 2008
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BOARD MEETING DATE:
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November 18, 2008
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SPECIAL NOTICE/HEARING:
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None
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VOTE REQUIRED:
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Majority
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TO:
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Honorable Board of Supervisors
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FROM:
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Sang-ick Chang, M.D., Chief Executive Officer,
San Mateo Medical Center
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SUBJECT:
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Agreement with Daniel Buckley, M.D.
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RECOMMENDATION:
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Adopt a Resolution:
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A.
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Authorizing the President of the Board to execute an Agreement with Daniel Buckley, M.D. for ophthalmology services for the term September 1, 2008 through August 31, 2011, in an amount not to exceed $254,700.
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B.
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Authorizing the Chief Executive Officer of San Mateo Medical Center (SMMC) or designee to execute contract amendments which modify the County's maximum fiscal obligation by no more than $25,000, and/or modify the contract term and/or services so long as the modified term or services is/are within the current or revised fiscal provisions.
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VISION ALIGNMENT:
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Commitment: Ensure Basic Health and Safety for All.
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Goal 5: Residents have access to healthcare and preventive care.
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The agreement contributes to this commitment and goal by continuing to provide ophthalmology services to county patients.
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Performance Measure(s):
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Measure
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FY 2008-09
Projected
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FY 2009-10
Projected
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FY 2010-11
Projected
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Initially increase and then maintain overall relative value unit (RVU) productivity for ophthalmology services
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1420
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1420
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1420
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Maintain high standard of eye care health compliance for patients identified as at high risk for vision loss, especially those with ESRD, diabetes, glaucoma, and hypertension
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>50%
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>50%
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>50%
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Reduce the risk of healthcare-associated infections and adhere to infection control standards as defined by Joint Commission, Title 22, and other applicable standards.
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100%
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100%
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100%
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BACKGROUND:
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San Mateo County is responsible for providing necessary medical care to its medically indigent population. This care includes professional ophthalmology services. Dr. Daniel Buckley has been providing ophthalmology services to San Mateo Medical Center (SMMC) for more than fifteen years.
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DISCUSSION:
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SMMC has been engaged in extended negotiations for ophthalmology services for the past six months. This Agreement represents the finalized long term contract, incorporating a reimbursement model that measures relative value unit (RVU) productivity. Further setback in the submission of this agreement was the result of the delay in receiving all of the signed documents.
This Agreement has been reviewed and approved by the Healthcare Redesign Team, County Counsel and Risk Management. The contractor has assured compliance with the County's Contractor Employee Jury Service Ordinance, as well as all other contract provisions that are required by County ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination, and equal benefits.
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FISCAL IMPACT:
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The cost of the previous two year Agreement was $85,344 per year. The term of the new Agreement is three years, September 1, 2008 through August 31, 2011, in an amount not to exceed $254,700 or $84,900 per year. The new Agreement represents a decrease in cost to the County in the amount of $444 per year, or $1,332 total for three years. Further, the amount expended under the contract may be decreased if Dr. Buckley does not meet productivity standards contained in the Agreement. Funds are included in the SMMC FY2008-09 Adopted budget, and will be included in future budget requests.
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